Part B News Features
Question: We’ve had a claim denied on the basis of medical necessity because the provider’s original diagnosis was not covered. Now the provider, after further analysis, has determined t... More
Question: A new patient came in and saw our physician assistant (PA) for some lacerations. She did not see a doctor. A week later the patient returned for follow up with an M.D. For purposes of billin... More
In a recent five-year span, the use of inpatient codes declined at a faster rate than they had in previous years, and denial rates dropped even more quickly.... More
Question: We’ve had a claim denied on the basis of medical necessity because the provider’s original diagnosis was not covered. Now the provider, after further analysis, has determined t... More
Question: A new patient came in and saw our physician assistant (PA) for some lacerations. She did not see a doctor. A week later the patient returned for follow up with an M.D. For purposes of billin... More
In a recent five-year span, the use of inpatient codes declined at a faster rate than they had in previous years, and denial rates dropped even more quickly.... More
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On Jan. 4, 2021, CMS updated the Part B conversion factor to $34.89, an increase of 8% over the previously finalized rate. The agency also revised total relative value units (RVU) for hundreds of services. Find the latest fees here.
Through the array of charts and data contained in this special report, you’ll find key characteristics of the medical practice professional working in ambulatory care settings today. From education and credentialing to emerging responsibilities and shifting practice trends, discover an illustrative look at the key personnel keeping medical practices going strong.

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